Can a physician bill for a new patient visit and thoracentesis and tunneled cath in the office on the same day with full reimbursement? I know the ov would need a modifier -25. Would I also need decision for surgery modifier? Sometimes the surgery decision would be made the day of and sometimes not. Does the same hold true if patient see in office and then does thoracentesis as outpatient in cancer center? What about suture removal on a different patient? I know it is included in surgery code but if different surgeon would I just need the modifier on suture removal code stating not the operating surgeon?